Area of residence, birthplace, and asthma in Puerto Rican children
Area of residence, birthplace, and asthma in Puerto Rican children
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DOI：
10.1378/chest.06-1917
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发表时间：
2007-05-01
期刊：
影响因子：
9.6
通讯作者：
Celedon, Juan C.
中科院分区：
文献类型：
--
作者：
Cohen, Robyn T.;Canino, Glorisa J.;Celedon, Juan C.
理由：在美国所有族裔群体中，波多黎各人的哮喘发病率最高。有没有研究直接比较的负担，哮喘之间的波多黎各人生活在波多黎各和那些生活在美国大陆的目的：研究出生地，居住区之间的关系，哮喘在Puerto Rican children.Methods：多阶段人口为基础的概率样本的儿童在圣胡安和卡瓜斯大都市地区在波多黎各和布朗克斯，纽约。信息收集在家庭调查的2,491名儿童和他们的主要caretakers.Results：在这项研究中，波多黎各儿童哮喘的总体患病率是非常高的（38.6%）。虽然来自波多黎各的儿童具有较高的社会经济地位，早产率和产前吸烟暴露率较低，但生活在波多黎各的波多黎各儿童的终生哮喘患病率高于生活在南布朗克斯的波多黎各儿童（41.3% vs 35.3%，p = 0.01）。在多变量分析中，居住在波多黎各与终生哮喘几率增加相关（比值比[OR]，1.27; 95%置信区间[CI]，1.03 - 1.57）和哮喘终身住院治疗（OR，1.47; 95%CI，1.04-2.07）。在波多黎各的波多黎各儿童比在南布朗克斯的波多黎各儿童患哮喘的风险更高，这突出表明需要进一步审查移徙的作用，文化适应、环境和心理社会因素对哮喘高危人群的影响。
Rationale: Puerto Ricans have the highest prevalence of asthma among all ethnic groups in the United States. There have been no studies that directly compare the burden of asthma between Puerto Ricans living in Puerto Rico and those living in the mainland United StatesObjective: To examine the relation between birthplace, area of residence, and asthma in Puerto Rican children.Methods: Multistage population-based probability sample of children in the San Juan and Caguas metropolitan areas in Puerto Rico and in the Bronx, NY. Information was collected in a household survey of 2,491 children and their primary caretakers.Results: The overall prevalence of asthma among Puerto Rican children in this study was very high (38.6%). Although children from Puerto Rico had higher socioeconomic status and lower rates of premature birth and prenatal smoke exposure, the prevalence of lifetime asthma was higher in Puerto Rican children living in Puerto Rico than in Puerto Rican children living in the South Bronx (41.3% vs 35.3%, p = 0.01). In multivariable analysis, residence in Puerto Rico was associated with increased odds of lifetime asthma (odds ratio [OR], 1.27; 95% confidence interval [CI], 1.03 to 1.57) and lifetime hospitalization for asthma (OR, 1.47; 95% CI, 1.04-2.07).Conclusions: Puerto Rican children in Puerto Rico had a higher risk of asthma than Puerto Rican children in the South Bronx, highlighting the need for further examination of the roles of migration, acculturation, and environmental and psychosocial factors on the development of asthma in this high-risk population.